Provider Demographics
NPI:1972494300
Name:VIVRANT HEALTH LLC
Entity type:Organization
Organization Name:VIVRANT HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, CRNA, APRN
Authorized Official - Phone:305-528-8844
Mailing Address - Street 1:5233 NW 81ST TER
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-0803
Mailing Address - Country:US
Mailing Address - Phone:305-528-8844
Mailing Address - Fax:
Practice Address - Street 1:4500 N UNIVERSITY DR # 202
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-1625
Practice Address - Country:US
Practice Address - Phone:305-528-8844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care